Bongiovanni, Michael S
Bongiovanni, Michael S is an sole proprietor health care provider with primary practice located at 4060 4Th Ave Suite 630, San Diego CA 92103-2116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bongiovanni, Michael S can be contacted via phone (619) 299-3950.Contact Information
Primary practice address
4060 4Th Ave Suite 630
San Diego CA 92103-2116
Phone: (619) 299-3950
Fax: (619) 299-3951
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G59386 | California |
Other Service Providers / Specialist | 174400000X | G59386 | California |
Profile Details
NPI number | 1992772784 |
---|---|
LBN Legal business name | Bongiovanni, Michael S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 1st, 2006 |
Last updated | Jan 14th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992772784 | NPPES |
California | Other | 4858980001 | CIGNA MEDICARE DMERC |
California | MEDICAID | 00G593860 | CIGNA MEDICARE DMERC |
California | Other | 200042516 | CIGNA MEDICARE DMERC |
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